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胫骨远端关节内骨折作为一种预后标准(作者译)

[The intraarticular fracture of the distal end of the tibia as a prognostic criterion (author's transl)].

作者信息

Niethard F U, Plaue R

出版信息

Arch Orthop Unfallchir. 1977 Feb 28;87(2):213-21. doi: 10.1007/BF00415209.

DOI:10.1007/BF00415209
PMID:843295
Abstract

Ankle fractures with injuries of the distal articular surface of the tibia have particularly unfavourable results. A follow-up of 103 cases shows, that even small marginal fragments of the lip of tibia produce posttraumatic athrosis. Results become statistically worse when the fragment is about 1/5 of the joint surface. Further there is a clear relationship between the number of the single injuries and the incidence of posttraumatic arthrosis. Thus the prognosis of ankle fractures is better described by the genetic classification of Lauge-Hansen than by the classification of Weber,

摘要

伴有胫骨远端关节面损伤的踝关节骨折预后尤其不佳。对103例患者的随访表明,即使是胫骨唇的微小边缘碎片也会导致创伤后关节炎。当碎片约占关节面的1/5时,结果在统计学上更差。此外,单一损伤的数量与创伤后关节炎的发生率之间存在明显的关系。因此,踝关节骨折的预后用Lauge-Hansen的遗传学分类比Weber的分类能更好地描述。

相似文献

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引用本文的文献

1
[Isolated fracture of Volkmann's triangle--a unique injury].[Volkmann三角孤立性骨折——一种独特的损伤]
Unfallchirurgie. 1993 Apr;19(2):98-107. doi: 10.1007/BF02588088.
2
Prognostic aspects in operated ankle fractures.手术治疗的踝关节骨折的预后因素
Arch Orthop Trauma Surg (1978). 1982;100(4):237-41. doi: 10.1007/BF00381663.

本文引用的文献

1
Fractures of the ankle; analytic historic survey as the basis of new experimental, roentgenologic and clinical investigations.踝关节骨折;作为新的实验、X线及临床研究基础的分析性历史调查
Arch Surg (1920). 1948 Mar;56(3):259-317.
2
[Treatment of luxation fractures of the tibiotarsal joint according to biomechanical viewpoints].[基于生物力学观点的胫跗关节脱位骨折治疗]
Helv Chir Acta. 1961 Mar;28:225-39.
3
Some applications of the functional anatomy of the ankle joint.踝关节功能解剖学的一些应用。
J Bone Joint Surg Am. 1956 Jul;38-A(4):761-81.
4
[Joint mechanical studies on post-traumatic arthrosas in the ankle joint. I. The intra-articular model fracture].踝关节创伤后关节炎的关节力学研究。I. 关节内模型骨折
Langenbecks Arch Chir. 1971;328(3):258-71. doi: 10.1007/BF01251346.
5
[AO-osteosynthesis of ankle fractures. Results after 5 years].[踝关节骨折的AO接骨术。5年后的结果]
Arch Orthop Unfallchir. 1970;68(1):42-60. doi: 10.1007/BF00418746.
6
[Studies of the joint mechanics elucidating the pathogenesis of posttraumatic arthrosis of the ankle joint in man. 3. Functional morphometric analysis of the articular cartilage (author's transl)].[阐明人类踝关节创伤后关节炎发病机制的关节力学研究。3. 关节软骨的功能形态计量分析(作者译)]
Langenbecks Arch Chir. 1973;333(2):91-107. doi: 10.1007/BF01261630.